Medications for suspected GERD - Online Doctor Chats

Doctor : Hi
Doctor : How can i help you?
User : hello im a 22 year old male
Doctor : ok
User : for about 3 weeks i been experiencin alot of chest discomfort and alot of burping
Doctor : ok
User : sometimes i wake up with pain in the center of my chest and hurts more on exhale
Doctor : ok
User : 3 weeks ago i went to hospital because i had pressure on left side of chest felt dizzy and started passing i went to hospital they put me on ekg,did bloodwork and xray everything came out fine
Doctor : ok
User : today has been pretty bad tho i keep feeling pressure on my left side of chest i get disoriented and feels like sumone is presssin on my chest i also feel sum pressure on right side of my neck from chest and stops where my jaw line is
User : i dont know what it is
Doctor : what medication did they advised you in the previous visit to ER?
User : nothing at all
User : they didnt fine anything wrong with heart but so they let me go. told me to see my doctor but i dont have a doctor because i dont have sinruance
Doctor : the symptoms you described do go in favor of the acid peptic disorder being the cardiac cause is ruled out
Doctor : did you try any antacids
User : i been takin mylanta,maalox,pepto bismol, Gas-x everythiing give me a bit of relief but symptoms come back
Doctor : how do you take them meaning dosage and timing of them?
User : well right now im takin maalox about 3 times a day in mornin after lunch and night
User : mylanta i take whenever i feel all bloated
Doctor : in acid peptic disorder it is important to observe some restrictions in food as well of time of medication consumption
Doctor : i shall suggest you to follow this
Doctor : avoid the spicy food for a week
Doctor : shake the bottle well before pouring each dose.The liquid form works best if taken without other fluids or food. You can mix your
dose with a little water if needed.
User : i been followin a diet but nothing is going away, im worried somehow its my hear because of this pressure on my chest and i feel out of breath just when walkin
Doctor : mylanta needs to be consumed in empty stomach and not after food
Doctor : Tab zantac 75 mg this is OTC take this twice a day one tab in the morning and one at bed time for 7 days
Doctor : this medication is for the reduction of the acid secretion.
User : is it normal to have discomfort like i said before around the heart region?
Doctor : yeah it is the reflux of acid into esophagus from stomach which causes this and it is normal in the people suffering from hyperacidity
Doctor : not to worry much
Doctor : tab zantac 75 mg will take care of the acid secretion. you need to take them twice daily for 7 days
User : why would i feel pressure on side of my neck tho?
Doctor : oesophagus also called as food pipe extends from neck to stomach. if the acid from stomach reflux into the food pipe its obvious there will be pressure like symptom from stomach to neck and in the center of the chest
User : but my pressure is on left side and i feel it on the left side of my neck and my color bone as if sumone has their foot on it
Doctor : is it still persisting?

Doctor : i mean is it constant or occurs in bouts
User : itll come and go
User : like when the pressure increases in my left chest itll move up my neck
Doctor : does it move on to your left arm?
User : no not really
User : like i kinda have it right now and its hard to take a deep breath
User : could it also be anxiety?
Doctor : yes very much possible
Doctor : do you have excess work pressure or some sort of tension?
User : no blieve it or not when i go to the gym i feel very good during and after the workout
User : many times if i sit down too long or when im at work ill feel pressure in my chest all the sudden
User : im always burping too
User : see right now i feel tightness on left side of my neck
Doctor : it is very clear burping is a sign of hyper acidity
User : down to my collar bone
Doctor : may i know your age?
User : 22
Doctor : Age, the symptoms and the initial evaluation for the cardiac cause for your symptom being negative - it is the acid peptic disorder

Doctor : if you still feel that there is some cardiac element which might have been missed in the early cardiac evaluation.
User : what are signs i should be lookin out for?
Doctor : you can get a TMT done for your satisfaction that there is no problem from your heart
User : i know but i am uninsured right now
Doctor : what you can do is
Doctor : try the medication zantac 75 mg for 7 days along with the food restriction and antacid you are using and see if there is any improvement
Doctor : if at all there is no improvement than you have to make it to the doctor for the evaluation
User : i guess so.... i just got up to get a glass of water and felt this pressure again
Doctor : ok
Doctor : you can consume 5 ml of the myalanta mixed into the water now
Doctor : this will offer some symptomatic relief
User : i will i mean im sure this is really all gastric because i burp alot get all gassy and everything i eat makes me burp
Doctor : ok
Doctor : is there any thing else i can help you with?
User : could gas be going up my neck?
Doctor : yes
Doctor : from stomach it travels up and passes out of the mouth
User : well no i meant the side of my neck not throat
Doctor : yeah the traveling of the gas in throat will make you feel like that ,

User : ok well thank you sorry for keeping u for so long
User : im just concerned and im all by myself
Doctor : please fill the feed back form
Doctor : not to worry
Doctor : we are available 24/7.
User : thank you
Doctor : thanks for consulting healthcare magic